Endoscopic Endonasal Resection of Tuberculum Sellae Meningioma Invading the Optic Canal

Journal of Neurological Surgery Part B Skull Base 2026

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Authors: Barış Erdoğan, Erik Burgos-Sosa, Yuanzhi Xu, Micheal Chang, Matei A. Banu, Florensa Rodrigues Brasili, Vera Vigo, Juan Carlos Fernandez-Miranda
DOI: 10.1055/s-0046-1818990
Cited by: 0

Abstract

We present a 34-year-old female with progressive visual loss caused by a tuberculum sellae meningioma invading the left optic canal. Preoperative MRI demonstrated significant compression of the optic nerve. The patient underwent an endoscopic endonasal approach with bilateral sphenoidotomy, tumor debulking, and meticulous extracapsular dissection. Gross total resection was achieved with decompression of the optic apparatus. This video illustrates key anatomical landmarks, surgical steps, and reconstruction techniques for safe management of such challenging lesions Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

Fields of Study & Subjects

Head and Neck Surgical Oncology Meningioma and schwannoma management Pituitary Gland Disorders and Treatments

Publication details

Journal / source
Journal of Neurological Surgery Part B Skull Base
Volume
87
Issue
S 01
Pages
S1–S548
Publication date
27 February 2026
Language
EN